Active NPI
Breanne Danielle Hurlbert, LPC MACP
- Professional Counselor
- West Chicago, IL
National Provider Identifier
1548494651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.005172
- Practice address
- 550 E Washington St
Suite a
West Chicago, IL 60185-2228 - Phone
- (630) 292-8006
- NPI assigned
- May 5, 2009
- Last updated
- May 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.005172 | IL | Primary |
Addresses
Primary practice location
550 E Washington St
Suite a
West Chicago, IL 60185-2228
Mailing address
550 E Washington St
Suite a
West Chicago, IL 60185-2228
Other names 1
- Breanne Danielle Fuelling
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.005172 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Behavioral Health, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- West Chicago, IL
- NPI 1326212770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241481600000",
"number": "1548494651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 E WASHINGTON ST",
"address_2": "SUITE A",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601852228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E WASHINGTON ST",
"address_2": "SUITE A",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601852228",
"telephone_number": "630-292-8006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLBERT",
"first_name": "BREANNE",
"middle_name": "DANIELLE",
"credential": "LPC MACP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-05",
"last_updated": "2009-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.005172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BREANNE",
"last_name": "FUELLING",
"middle_name": "DANIELLE",
"credential": "LPC MACP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in West Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.